| NPI | 1063190916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-04-16 |